Choice of Maternal Care Provider in Kenya
Abstract
A study investigating a combination of both socio-economic and women decision
making variables and their relationship with maternal care services in Kenya brings a
different front in attempting to establish the cause of poor use of maternal care
services and recommend policies that will reduce maternal mortality in Kenya. We
fitted a multinomial logit model to analyze how socio economic such as women’s
education level, husband’s education level, mother’s age at first birth, age category,
residence, religion, work status and income levels and women autonomy variables
(final say on woman’s own healthcare, large household purchases, daily household
purchases, family visits and control of finances) influence the preferred place of
delivery for women. We used data obtained from the Kenya Demographic and Health
Survey 2008/09.
Among the socio-economic variables analyzed, both husband’s and women’s
education level was found to be a significant contributor to use of health facilities for
delivery, similar to being rich and living in urban areas, whereas living in rural areas
and higher parity reduce the probability of seeking maternal care services in health
facilities. The study concluded that decision making empowerment for women of
reproductive age will be necessary if maternal mortality rate is to be reduced,
especially decision making on purchase of large household items and use of family
financial resources.
Publisher
University of Nairobi